Organization
INOVA HEALTH CARE SERVICES
Active
Other names
Inova Fair Oaks Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MAGENHEIMER (CHIEF FINANCIAL OFFICER)
(703) 289-2048
Entity
Organization
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3600
Mailing address
2990 TELESTAR CT, FALLS CHURCH, VA 22042-1207
(703) 321-2999
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004901011
—
VA
Enumeration date
03/09/2007
Last updated
12/29/2009
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